123 research outputs found
Weak relationships between injuries in freezing tests and performance in short-term and field trials of Norway spruce families from Stange Seed Orchard
Artificial freezing tests were performed on seedlings from Norway spruce families at the end of the first growing season. Similar tests were made on twigs collected from trees in a progeny test at the end of growing season nine. The 26 families in the early test were included in the short-term progeny test with 100 full-sib families from a 10 x 10 factorial cross. All families were also planted in seven field trials in Norway, Sweden and Finland, from which data on mortality, tree heights and stem damage at age 10 years are available. Significant difference was found among families for freezing test injuries on whole intact seedlings at the end of the first growing season and for lethal temperature of needles on detached twigs collected at the end of growing season nine. However, no relationships were found between the freezing test scores of families in the two types of tests or few between these scores and the traits measured in the short-term and field trials. The results show that frost hardiness testing of families at a young age, grown under artificial temperature and light conditions in nursery, is a weak predictor of their performance under natural conditions in field at older ages.Weak relationships between injuries in freezing tests and performance in short-term and field trials of Norway spruce families from Stange Seed OrchardWeak relationships between injuries in freezing tests and performance in short-term and field trials of Norway spruce families from Stange Seed OrchardpublishedVersio
Pharmacodynamic mechanisms behind a refractory state in inflammatory bowel disease
Background and aims - Biological therapy for inflammatory bowel disease is efficient in many cases but not all. The underlying molecular mechanisms behind non-response to biological therapy in inflammatory bowel disease are poorly described. Therefore, we aimed to characterize the mucosal cytokine transcript profile in non-immunogenic, non-responder patients with adequate trough level.
Material and methods - Patients with ulcerative colitis (UC) (n = 21) and Crohn’s disease (CD) (n = 12) with non-response to biological therapy (anti-tumor necrosis factor (TNF) or vedolizumab) were included. Reference groups were A: untreated patients with UC or CD at debut of disease who had severe 1-year outcome, B: patients with UC or CD treated to endoscopic remission with biological agents, and C: healthy normal controls. Mucosal transcripts of TNF, interleukin (IL)17 and IL23 were measured by reverse transcription real-time quantitative polymerase chain reaction. Results Of the non-responders, 2 out of 12 CD and 1 out of 21 UC patients needed surgery during follow-up. Of the remaining non-responding patients, 8 out of 10 CD and 12 out of 20 UC patients switched biologic treatment. The remaining 2 CD and 8 UC patients continued treatment with the same biological agent with the addition of steroids, immunomodulators (AZA/MTX) and /or local steroids/5ASA. Twelve (8 UC/4 CD) out of 20 IBD patients were still non-responders after changing biological therapy to either anti-TNF (2), vedolizumab (9) or ustekinumab (1).
The transcripts of IL17, IL23 and TNF were significantly upregulated in the non-response group compared to normal controls and patients in remission. In UC, 24% of the non-responders had normal mucosal TNF transcript indicating a non-TNF mediated inflammation. No obvious differences in gene expression were observed between primary and secondary non-responders, nor between anti-TNF and vedolizumab non-responders.
Conclusions - Mucosal transcripts of IL17 and IL23 are highly associated with non-response to biological therapy, whereas some UC patients may also have a non-TNF mediated inflammatory pathway
Colonic distribution of FMT by different enema procedures compared to colonoscopy – proof of concept study using contrast fluid
Background Fecal microbiota transplantation (FMT) has become an important treatment method in recurrent
Clostridioides difficile infections and is under investigation as a treatment for several other diseases. FMT’s mechanism
of action is assumed to be through alterations of the colon microbiota. FMT can be delivered by several methods,
but few studies have directly compared how FMT is distributed in the colon by different methods. Specifically, the
proximal distribution of FMT delivered by enema is unknown.
Methods In eight participants, we administered contrast fluid (CF) with viscosity similar to an FMT in a crossover
study design. First, CF was administered by colonoscopy, followed by an abdominal X-ray to visualize the CF
distribution. Next, after four to eight weeks, participants were given CF, but as an enema, followed by a positioning
procedure. X-rays were obtained before (enema ÷) and after (enema +) the positioning procedure.
Conclusion Proportion of participants with CF in cecum were 100% after colonoscopy, 50% after enema+and 38%
after enema ÷. In the transverse colon, proportions were 100% (colonoscopy), 88% (enema +) and 63% (enema ÷).
There were no adverse events.
Interpretation This study shows proof of concept for the distribution of FMT to proximal colon when delivered by
enema. A positioning procedure after the enema slightly improves the proximal distribution. However, colonoscopy
is the only method that ensures delivery to the cecum. Studies are needed to see if FMT colon distribution correlates
with treatment effectiveness.
Trial registration The study was retrospectively registered at ClinicalTrials.gov (NCT05121285) (16/11/2021)
Migration of Atlantic salmon post-smolts in a fjord with high infestation pressure of salmon lice
Understanding Atlantic salmon Salmo salar post-smolt coastal migration behaviour is crucial for predicting their exposure to ecological challenges such as the parasite salmon louse Lepeophtheirus salmonis. We compared the migration of acoustically tagged, hatchery-reared Atlantic salmon post-smolts of wild and domesticated origins from the inner, middle and outer part of a 172 km long aquaculture-intensive fjord in western Norway. Additionally, we examined if the timing of the release or treatment with an anti-parasitic drug (prophylaxis) altered migratory behaviour. We found no significant differences in mean progression rates among the 3 release locations, among genetic groups or between treatments (range: 11.5−16.9 km d−1). However, individual variation in progression rates and migratory routes resulted in large differences in fjord residence times (range: 2−39 d). Ocean-current directions during and after release affected swimming speed, progression rate and route choice, and for most post-smolts, swimming speeds were much higher than their progression rates out of the fjord. The predicted lice loads based on lice intensity growth rates on smolts held in sentinel cages throughout the fjord indicated that individuals taking >10 d to exit the fjord in periods with high infestation pressure are likely to get lethally high sea-lice infestations. We conclude that, as migratory routes of S. salar post-smolts are hard to predict and migration times can stretch up to over a month, it is important to develop aquaculture management that keeps salmon lice levels down along all potential migration routes and during the full potential migratory period. Migratory behaviour · Salmo salar · Lepeophtheirus salmonis · Acoustic telemetry · Management · Fish farming · ParasitepublishedVersio
Comparison of the SF6D, the EQ5D, and the oswestry disability index in patients with chronic low back pain and degenerative disc disease
Background
The need for cost effectiveness analyses in randomized controlled trials that compare treatment options is increasing. The selection of the optimal utility measure is important, and a central question is whether the two most commonly used indexes - the EuroQuol 5D (EQ5D) and the Short Form 6D (SF6D) – can be used interchangeably. The aim of the present study was to compare change scores of the EQ5D and SF6D utility indexes in terms of some important measurement properties. The psychometric properties of the two utility indexes were compared to a disease-specific instrument, the Oswestry Disability Index (ODI), in the setting of a randomized controlled trial for degenerative disc disease.
Methods
In a randomized controlled multicentre trial, 172 patients who had experienced low back pain for an average of 6 years were randomized to either treatment with an intensive back rehabilitation program or surgery to insert disc prostheses. Patients filled out the ODI, EQ5D, and SF-36 at baseline and two-year follow up. The utility indexes was compared with respect to measurement error, structural validity, criterion validity, responsiveness, and interpretability according to the COSMIN taxonomy.
Results
At follow up, 113 patients had change score values for all three instruments. The SF6D had better similarity with the disease-specific instrument (ODI) regarding sensitivity, specificity, and responsiveness. Measurement error was lower for the SF6D (0.056) compared to the EQ5D (0.155). The minimal important change score value was 0.031 for SF6D and 0.173 for EQ5D. The minimal detectable change score value at a 95% confidence level were 0.157 for SF6D and 0.429 for EQ5D, and the difference in mean change score values (SD) between them was 0.23 (0.29) and so exceeded the clinical significant change score value for both instruments. Analysis of psychometric properties indicated that the indexes are unidimensional when considered separately, but that they do not exactly measure the same underlying construct.
Conclusions
This study indicates that the difference in important measurement properties between EQ5D and SF6D is too large to consider them interchangeable. Since the similarity with the “gold standard” (the disease-specific instrument) was quite different, this could indicate that the choice of index should be determined by the diagnosis
Prediction of long-term remission in patients following discontinuation of anti-TNF therapy in ulcerative colitis: a 10 year follow up study
Background - The long-term outcomes of Ulcerative colitis (UC) after discontinuation of biological therapy are largely unknown. There is also a lack of accurate and validated markers that can predict outcome after withdrawal accurately. The aims of this study were to describe the long-term outcomes in UC patients following cessation of anti-TNF therapy and explore potential biomarkers as an approach towards precision medicine.
Methods - Seventy-five patients with moderate to severe UC treated to remission with anti-tumor necrosis factor (TNF) were included in the study. This is a follow-up of previously reported UC outcomes. The patients were categorized as either “Remission” or “Relapse”. The “Relapse” group was divided into subgroups determined by the highest treatment level needed to obtain remission the last 3 years of observation: non-biological therapy, biological therapy or colectomy. Remission were divided in long term remission (LTR), those using immunomodulating drugs (LTR + imids) and those using only 5-amino-salicylate (5-ASA) treatment (LTR) for the past 3 years. Analyses of mucosal gene expression by real-time PCR were performed.
Results - The median (IQR) observation time of all patients included was 121 (111–137) months. Of the 75 patients, 46 (61%) did not receive biological therapy, including 23 (31%) in LTR ± imids. Of these 23 patients, 16 (21%) were defined as LTR with a median observation time of (IQR) 95 (77–113) months. In total 14 patients (19%) underwent colectomy during the 10 years after first remission. Mucosal TNF copies/µg mRNA
Conclusion - In this 10-year follow-up of UC of patients with moderate to severe disease, 61% of patients experience an altered phenotype to a milder disease course without need of biological therapy. Twenty-one percent of the patients were LTR without any medication except of 5-ASA. Mucosal TNF gene expression and IL1RL1- transcripts may be of clinical utility for long term prognosis in development of precision medicine in UC
Does maternal environmental condition during reproductive development induce genotypic selection in Picea abies ?
In forest trees, environmental conditions during reproduction can greatly influence progeny performance. This phenomenon probably results from adaptive phenotypic plasticity but also may be associated with genotypic selection. In order to determine whether selective effects during the reproduction are environment specific, single pair-crosses of Norway spruce were studied in two contrasted maternal environments (warm and cold conditions). One family expressed large and the other small phenotypic differences between these crossing environments. The inheritance of genetic polymorphism was analysed at the seed stage. Four parental genetic maps covering 66 to 78% of the genome were constructed using 190 to 200 loci. After correcting for multiple testing, there is no evidence of locus under strong and repeatable selection. The maternal environment could thus only induce limited genotypic-selection effects during reproductive steps, and performance of progenies may be mainly affected by a long-lasting epigenetic memory regulated by temperature and photoperiod prevailing during seed productio
Korrosjon av Stål i Ferskvann
Det er i dag en diskusjon gående om korrosjon og korrosjonsmonn på pæler som skal stå i Mjøsa. Mjøsa er ferskvann, og det gjelder pæler på lengder opp mot 100 meter, og ca 50 meter av pælen vil stå i ferskvannet. Det er tenkt at stålet i pælene kan være prosjektert som bærende konstruksjon, og dermed er det ikke krav om utstøping av pælene med betong, hvilket vil redusere både kostnader og klimafotavtrykk. Designlevetid er 100 år. I litteraturen rapporteres det om korrosjonshastigheter fra 1,8 mm til 7350 mm / 100 år. Hovedårsaken til den store spredningen er forskjeller i vanntemperatur, oksygeninnhold, forekomsten av bakterier som kan årsake korrosjon, vannets strømningshastighet og vannkvaliteten. Også i de relevante standardene spriker korrosjonsmonnet fra 1,4 mm til 20 mm for 100 års levetid. Dette blir diskutert i denne state-of-the-art studie.publishedVersio
Surgery with disc prosthesis versus rehabilitation in patients with low back pain and degenerative disc: two year follow-up of randomised study
Objective To compare the efficacy of surgery with disc prosthesis versus non-surgical treatment for patients with chronic low back pain
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